Ewing, Gary Bogart

Ewing, Gary Bogart is an individual health care provider with primary practice located at 2 Medical Park Rd Suite 203, Columbia SC 29203-6808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Ewing, Gary Bogart can be contacted via phone (803) 212-7130.

Contact Information

Primary practice address
2 Medical Park Rd Suite 203 Columbia SC 29203-6808
Phone: (803) 212-7130
Fax: (803) 212-7160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 17913 South Carolina
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 17913 South Carolina

Profile Details

NPI number 1861451650
LBN Legal business name Ewing, Gary Bogart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861451650 NPPES
South Carolina MEDICAID 179130

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